Active NPI
Ellen Julia Chang, DMD
- Dentist
- Fairless Hills, PA
National Provider Identifier
1659010874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043680
- Practice address
- 520 S Oxford Valley Rd
Fairless Hills, PA 19030-2615 - Phone
- (215) 608-3868
- NPI assigned
- Jun 4, 2022
- Last updated
- Jun 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS043680 | PA | Primary |
Addresses
Primary practice location
520 S Oxford Valley Rd
Fairless Hills, PA 19030-2615
Mailing address
14 Calvert Ave E
Edison, NJ 08820-3262
Phone (732) 570-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043680 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1659010874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CALVERT AVE E",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203262",
"telephone_number": "732-570-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S OXFORD VALLEY RD",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "190302615",
"telephone_number": "215-608-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ELLEN",
"middle_name": "JULIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-04",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairless Hills, PA
- Jacqueline Breault, M.A L.B.S
- Tracy Hampton Brown, PT, DPT, CIMT
- Bucks County Technical High School
- Joshua Paul Buffington, PHARMD, RPH
- William Charles Byrne, OD
- Wendy Marie Charnigo
- Chiropractic Health and Pain Institute PA PLLC
- Neil Choudhry, DMD
- Nicholas Duc Chung
- Clinical Pain Management Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.